Abstract：Objective: To study the application of self-made puncture device in thoracoscopic surgery and traditional thoracotomy. Methods: 88 patients with spontaneous pneumothorax who were hospitalized in our hospital from May 2012 to December 2015were divided into observation group (n = 44) and control group (n = 44). The patients in the control group were treated with traditional thoracotomy, the indexes and complications were compared between the two groups, and the patients were followed up to observe the recurrence after operation. Results: The volume of bleeding in the observation group was (61.81+9.31) mL, significantly lower than that in the control group [(90.23+15.83) mL, P<0.05]; the operation time was (71.1+12.89) min, significantly lower than that in the control group [(83.95+13.76) min, P<0.05]; the time of getting out of bed after operation was (23.16+7.32) h, significantly higher than that in the control group [(46.97+10.72) h, P<0.05]; The time was (6.82 + 1.22) days, which was significantly lower than that of the control group [(9.54 + 2.81) days, P<0.05]. The total incidence of complications in the observation group was significantly lower than that in the control group (χ2= 5.091, P<0.05); according to the follow-up results, the recurrence rate in the control group was significantly higher than that in the observation group (χ2= 3.106, P<0.05). Conclusion: The self-made puncture device is safe to be used in thoracoscopic surgery. Compared with traditional thoracotomy, it is simple to operate, and there are no serious complications in patients with minor surgical trauma,and significantly reduce the financial burden of the patient.
杨斌, 郑玄, 孙静, 李澄, 王静, 王晓强, 丁梅, 陈铁良. 自制穿刺器在胸腔镜手术中与传统开胸手术效果及安全性对比[J]. 河北医学, 2019, 25(7): 1214-1216.
YANG Bin, ZHENG Xuan, SUN Jing, et al. Comparative Analysis of the Application of Self-made Puncture Apparatus in Thoracoscopic Surgery and Traditional Thoracotomy. HeBei Med, 2019, 25(7): 1214-1216.
2019, Vol. 25 
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